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OSWEGO WELLNESS, INC
NPI 1912373069
Community/Behavioral Health in Oswego, IL

Active since August 12, 2015
64 MAIN ST, OSWEGO, IL 60543(630) 519-1010(630) 405-7209 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2022, Feb 10, 2017 (2 updates tracked since 2017).

About Oswego Wellness, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OSWEGO WELLNESS, INC (NPI 1912373069) is a healthcare organization registered as a community/behavioral health in Oswego, Illinois and active in the NPI registry since August 2015. The organization maintains a secondary practice location in Plainfield and lists Heather Ann Johnson, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1912373069
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameOSWEGO WELLNESS, INC
Location Address64 MAIN STOswego, IL 60543-9893
Mailing Address64 Main StOswego, IL 60543-9893 · (630) 519-1010 · Fax (630) 405-7209
Phone(630) 519-1010
Fax(630) 405-7209
Organization SubpartNo
Authorized OfficialHeather Ann JohnsonClinical Director · (630) 519-1010
Enumeration DateAugust 12, 2015
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1912373069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
64 MAIN ST, Oswego, IL 60543
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Secondary Practice Location 1

Location 115003 S Route 59Plainfield, IL 60544-2730 · Phone (630) 519-1010 · Fax (630) 405-7209

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Oswego Wellness, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Oswego Wellness, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Lauren Marasco
Clinical Social Worker
NPI 1295515039
64 MAIN ST
Oswego, IL 60543
(630) 519-1010
✔ PECOS✔ Accepts MedicareSame address
Elise Pullen, LCSW
Clinical Social Worker
NPI 1366229361
64 MAIN ST
Oswego, IL 60543
(540) 849-0894
✔ PECOS✔ Accepts MedicareSame address
Kristen Rexha
Clinical Social Worker
NPI 1265027452
64 MAIN ST
Oswego, IL 60543
(630) 519-1010
✔ PECOSSame address
Mary Ihnenfeld, LCSW
Clinical Social Worker
NPI 1194856054
309 NEW INDIAN TRAIL COURT
Aurora, IL 60506
(630) 966-4000
✔ PECOS7.0 mi
Alicia Noyes, LCSW
Clinical Social Worker
NPI 1154917201
8 SALT CREEK LN # 202
Hinsdale, IL 60521
(331) 221-2505
✔ PECOS✔ Accepts Medicare23 mi
Melissa Tatum, RN
Nurse Practitioner
NPI 1972078350
4440 W 95TH ST
Oak Lawn, IL 60453
(708) 684-8000
✔ PECOS32 mi
Derick Johnson, APRN
Nurse Practitioner
NPI 1154903920
8543 S STONY ISLAND AVE STE 3
Chicago, IL 60617
(312) 380-9808
✔ PECOS40 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oswego Wellness, Inc's NPI number?

The NPI number for Oswego Wellness, Inc is 1912373069. It was assigned to this organization in the NPPES registry on August 12, 2015.

Where is Oswego Wellness, Inc located?

Oswego Wellness, Inc is located at 64 Main St, Oswego, IL 60543. The listed phone number is (630) 519-1010.

What is Oswego Wellness, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Oswego Wellness, Inc enrolled in Medicare?

Yes. Oswego Wellness, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oswego Wellness, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Oswego Wellness, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (5) and Nurse Practitioner (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oswego Wellness, Inc was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.